| NPI | 1346609203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA ANN HALL Owner 702-308-4807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NV NV20101014236) |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2016-09-30 |